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Nevada rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Facilitymedian $4,365 · 10th–90th $2,042–$7,7620%20%10th90th$4,365Professionalmedian $309 · 10th–90th $5–$5130%10%20%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,466.84 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,073.80 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $2,041.74
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $309.03 / $512.86
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,187.76 / $4,897.79